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Innovating mental health at Europe - Catalonia (Spain)

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Cutting-edge and innovative results and social services on mental health developed at Catalonia (Spain).

Cutting-edge and innovative results and social services on mental health developed at Catalonia (Spain).

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  • 1. Innovating Mental Health at Europe Sabadell 5th September, 2013 Visit the webpage event: www.parcdesalut.com/innovating-mental-health
  • 2. INNOVATING MENTAL HEALTH AT EUROPE MENTIONS AND SPECIAL ACKNOWLEDGEMENTS INNOVATING MENTAL HEALTH AT EUROPE has received the support of NeuroRescue as EU Cluster of Excellence on Neuroscience. The journey, taking part of the Catalan Mental Health Cluster activities has been organized by PARC DE SALUT together with the Catalan Observatory on Mental Health OSAMCAT as key member of the Cluster, and has counted with the participation and involvement of XISCAT Network as part of its commitment on the enhancement of innovation in network as well as with relevant guest speakers. A day-journey on mental health dedicated to show innovation and last trends as result of collaborative and multidisciplinar framework, international network and which conclusions will be powered at EU level thanks to PARC DE SALUT and the involvement on NeuroRescue. www.parcdesalut.com/innovating-mental-health
  • 3. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 4. Cluster Development in Catalonia Maria Dolors Nuñez ACCIÓ, Agència per a la competitivitat de l’empresa Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 5. INNOVATING MENTAL HEALTH AT EUROPE + Regions and countries with initiatives based on cluster development Aprox. More than 3.000 initiatives in different countries and regions (*) Clusters: a global phenomena Sweden Turkey Lithuania Pakistan Kazakhstan Poland …. Austria Jordanian México South Africa .... Emilia-Romagna Toscana .... Basque Country Scotland Arizona Catalonia Massachusetts 1980 1990 1992 New Zealand Costa Rica California .... 1997 France Estonia Denmark Slovenia UK Minas Gerais ... 2001 2003 2005 2011 (*) Estimation from TCI,European Cluster Observatory 2011 www.parcdesalut.com/innovating-mental-health
  • 6. INNOVATING MENTAL HEALTH AT EUROPE Catalonia: pioneer country www.parcdesalut.com/innovating-mental-health
  • 7. INNOVATING MENTAL HEALTH AT EUROPE COMPETITIVENESS Last target WINNING STRATEGIES BUSINESS Success or future strategies in this business Segment by business and not by statistical codes CLUSTER Tool: place to discuss group strategy and implement actions according to the strategy www.parcdesalut.com/innovating-mental-health
  • 8. Obsolete collective strategy. + Collective winning strategy. Business Cooperation Individual winning strategy. Obsolete Individual strategy. _ _ Competitiveness + www.parcdesalut.com/innovating-mental-health
  • 9. INNOVATING MENTAL HEALTH AT EUROPE Health Initiatives BioTech Mental Health TecMed Seniors www.parcdesalut.com/innovating-mental-health
  • 10. INNOVATING MENTAL HEALTH AT EUROPE The future will be hybrid Intercluster projects Children’s health Kid’s cluster Sports cluster Medical devices cluster Mental Health Aquaculture cluster www.parcdesalut.com/innovating-mental-health
  • 11. INNOVATING MENTAL HEALTH AT EUROPE The future will be hybrid Intercluster projects Mobile technologies Fashion cluster Videogames cluster Automotive cluster Mental Health Cluster Medical Devices Cluster www.parcdesalut.com/innovating-mental-health
  • 12. INNOVATING MENTAL HEALTH AT EUROPE The future will be hybrid Intercluster projects Seniors Sport Mental Health Medical Devices Food Domotics www.parcdesalut.com/innovating-mental-health
  • 13. INNOVATING MENTAL HEALTH AT EUROPE TCI Headquarters Pro-clusters Government since 1993 1.000 active companies in 24 clusters Business Schools (IESE, ESADE) training Cluster Professionals Some world-leading Cluster Consultants Catalonia: A Holistic Cluster Ecosystem www.parcdesalut.com/innovating-mental-health
  • 14. INNOVATING MENTAL HEALTH AT EUROPE Moltes gràcies Thank you very much dnunez@gencat.cat www.parcdesalut.com/innovating-mental-health
  • 15. Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 16. SANT BOI DE LLOBREGAT AND MENTAL HEALTH On 2008, the approval of the Municipality Action Plan defined the Community Mental Health as one of the main strategic axis at Sant Boi de Llobregat. www.parcdesalut.com/innovating-mental-health
  • 17. INNOVATING MENTAL HEALTH AT EUROPE SANT BOI DE LLOBREGAT AND MENTAL HEALTH On October 2008 there was signed the Protocol of Intent to develop the strategic Community Mental Health with the aim of promoting the city as a national and European level in this area. www.parcdesalut.com/innovating-mental-health
  • 18. INNOVATING MENTAL HEALTH AT EUROPE Sant Boi City Council driving the Catalan Mental Health Cluster On 16th January 2013, Sant Boi de Llobregat, the driving city Cluster project, hosted the signature of the Cluster constitution, with 22 cluster members across Catalonia. www.parcdesalut.com/innovating-mental-health
  • 19. INNOVATING MENTAL HEALTH AT EUROPE Founders Potencial Partners Junta directiva Non-member collaborator www.parcdesalut.com/innovating-mental-health 19/10/2013 Support institutions 19
  • 20. INNOVATING MENTAL HEALTH AT EUROPE New headquarters for the Mental Health Cluster Palau de Marianao premises, emblematic building at St. Boi del Llobregat Centre d'Excel·lència Internacional per a la Salut Mental de Catalunya (CEISAM) www.parcdesalut.com/innovating-mental-health
  • 21. INNOVATING MENTAL HEALTH AT EUROPE DINAMIZATION PLAN – MENTAL HEALTH CLUSTER Includes a proposed action to enhance the ICT application on mental health www.parcdesalut.com/innovating-mental-health
  • 22. Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 23. European Cluster on neurosciences Ramon Maspons Bosch Parc de Salut Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 24. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 25. INNOVATING MENTAL HEALTH AT EUROPE Context Care for people with dementia is a growing concern in many European countries. In the context of an ageing population, an increasing number of European citizens are likely to be affected by mental disorders, dementia or neurodegenerative diseases (such as Alzheimer’s). Addressing the opportunities for patients suffering from dementia as well as addressing the issue of caring, is of particular concern to policy makers at regional, national, EU and global levels. www.parcdesalut.com/innovating-mental-health
  • 26. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 27. JAP Actions INNOVATING MENTAL HEALTH AT EUROPE 2012 (II) 1. Interactive map (1000 references), of enterprises, research institutes, VC put on the website 2. Databases of private investors, VC, business angels on the website (500+ references) 3. Fact Sheets on reseaech ecosystem (in 4 regions) 4. Research of synergies between regions to apply for the European calls (2 projects submitted, 4 match-makings between SMEs) 5. Exchanges with other European initiatives (JPND, ESCAN, Alzheimer Europe) 6. Soft-landing opportunity promoted on the website (2 incubators per region). 2013 (I) 2013 (II) 1. Mentoring events (1 in Budapest focused on Eastern Europe,) 1. Mentoring event (1 in Marseille) focused on Mediterranean area 2. Matchmaking event in Garching – MedTech Partnering BtoB 2. InterRoK meeting to match with other RoK projects in ageing (Marseille – July 1-2) 3. Promotion of job opportunities in the neurosciences field through the www.neurorescue.eu website 4. Promotion of living labs interregional cooperation 5. Further exchanges with other European initiatives and RoK projects (NeuroMed, DANA Alliance, European Brain Council, JADE, Ami4Europe. 3. Matchmaking event in NeuroConnection BtoB France – 4. Dissemination of the best practices 5. Creation and launch of the business intelligence unit (financial, regulatory, technological watch) 6. Start of the lobbying activity in coordination with other neurosciences initiatives 7. State of the art in the field of Clinical Trials www.parcdesalut.com/innovating-mental-health
  • 28. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 29. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 30. INNOVATING MENTAL HEALTH AT EUROPE Mentoring activities • Budapest and other eastern countries The main goal at an international level is to implement common projects also based on the existing cooperation initiatives (e.g. Mobility and Multimedia Cluster, Hungarian Medical Cluster) within the NeuroRescue community. One mentoring visit in Budapest April 10, 2013 • Mediterranean area Focus on the Mediterranean area, because of the good historic relationship between PACA and this area. The Maghreb countries are characterized by the rise in life expectancy. Ageing population healthcare and neurodegenerative diseases are therefore becoming an important societal issue. One workshop in Marseille with countries from the Mediterranean area planned for July 2013. www.parcdesalut.com/innovating-mental-health
  • 31. INNOVATING MENTAL HEALTH AT EUROPE NeuroRescue JAP: • Helping companies to become more competitive by enhancing access to research excellence, funding mechanisms and innovation through the improved interconnection of the actors in the field of Neurosciences. • Promoting the collaboration, the exchange and the dissemination of best practices related to Neurosciences at the European level and beyond. • Supporting the internationalization efforts of academics and research institutes in the field of Neurosciences through improved collaboration between themselves and with companies, notably SMEs. • Supporting policy makers in developing innovative clusters and healthcare policies such as research & innovation smart specialization framework conditions. • Developing a holistic approach to raise awareness and increase prevention on societal and patient care issues linked to Neurosciences such as the prevention of ageing related www.parcdesalut.com/innovating-mental-health diseases.
  • 32. INNOVATING MENTAL HEALTH AT EUROPE Lobbying Lobbying at a European level is required to raise awareness of the needs associated with neurodegenerative diseases (too long application procedures for researchers, hard to find adequate funding, etc.). NeuroRescue can be a lobbying tool to raise interest and awareness with EU and regional policy makers. Therefore, the NeuroRescue community decided to • Contact the EU brussels offices of each region in the health sector and to provide PACA with the name of the contacts • Organize a meeting with researchers/SMEs and establish a lobbying group (3-4 key opinion leaders from each region) and look for a good practice in terms of lobbying www.parcdesalut.com/innovating-mental-health
  • 33. INNOVATING MENTAL HEALTH AT EUROPE THANK YOU Visit NeuroRescue website www.neurorescue.eu More events at Catalonia www.parcdesalut.com/neurorescue www.parcdesalut.com/innovating-mental-health
  • 34. Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 35. Innovation on neurosciences and treatments for childrens - teenagers Josep Moya Ollé Coord. OSAMCAT Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 36. V CATALAN CONGRESS ON MENTAL HEALTH OF CHILDREN AND ADOLESCENTS Experiences on mental health: assistance, research and education Barcelona, 13 and 14 november of 2014 www.parcdesalut.com/innovating-mental-health
  • 37. INNOVATING MENTAL HEALTH AT EUROPE PROGRAM: Inaugural conference: Dra. Begoña Roman, teacher of ethics, Philosophy faculty of Barcelona University. Catedra of ethics Ethos Ramon Llull director, Ramon Llull University www.parcdesalut.com/innovating-mental-health
  • 38. INNOVATING MENTAL HEALTH AT EUROPE 1. Assistance table (I): " Responses to the current Pathology " •Development and use of a Protocol Conduct in a day hospital “ •Experiences of using " Video Feedback “ www.parcdesalut.com/innovating-mental-health
  • 39. INNOVATING MENTAL HEALTH AT EUROPE 2. Assistance table (II): "Network experiences in working with severe mental pathologies " •Psychosis in the Adolescence: ways to approach on the Network •Detection and treatment of Psychosis in medical education unit •Rehabilitation work with young people www.parcdesalut.com/innovating-mental-health
  • 40. INNOVATING MENTAL HEALTH AT EUROPE 3. Education: •Transmission guide of information between services (Xarxabaix). Social Information units •Training program for teachers serving students with Autistic Spectrum Disorder www.parcdesalut.com/innovating-mental-health
  • 41. INNOVATING MENTAL HEALTH AT EUROPE 4. Research: •Intelligent recognition behavior and medical image applied to the ADHD analysis. •Functional connectivity of the brain at rest. Applications in clinical and psychotherapy. www.parcdesalut.com/innovating-mental-health
  • 42. Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 43. RARE DISEASE IN CHILDREN MALALTÍES RARES EN INFANTS Jordi Cruz President of Spanish MPS Society and Member of the Rare Disease Federation Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 44. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 45. INNOVATING MENTAL HEALTH AT EUROPE WHAT ARE RARE DISEASE? -Low prevalence are of diferents conditions, more are very complicate syndroms, and the majority of this syndroms are of infants. -7.000 ~ 8.000 diferents rare disease. -4.000 are genetic originary and are of the peditrician poblation. -For the majority of rare syndroms there are treatments and medical experts. www.parcdesalut.com/innovating-mental-health
  • 46. INNOVATING MENTAL HEALTH AT EUROPE •35% are death about one year of age. •10% are children between 1~5 years •50% death before of 30 years. The prevalence in Europe is about 5 cases for 10.000 people (or the same, 1 case for every 2.000 people borns). www.parcdesalut.com/innovating-mental-health
  • 47. INNOVATING MENTAL HEALTH AT EUROPE Between 6~8% of the general poblation is possible that have a rare disease. In Europe are 30~35 millions with rare disease. In Spain for exemple, there are about 3 millions. In Catalonia Community there are about 300.000 affected people. www.parcdesalut.com/innovating-mental-health
  • 48. INNOVATING MENTAL HEALTH AT EUROPE WHAT ARE THE MPS ? Mucopolysaccharidoses (MPS) and related diseases are genetic lysosomal storage diseases (LSD) caused by the body's inability to produce specific enzymes. Normally, the body uses enzymes to break down and recycle materials in cells. In individuals with MPS and related diseases, the missing or insufficient enzyme prevents the proper recycling process, resulting in the storage of materials in virtually every cell of the body. There are from MPS I to MPS VII, and Related Diseases. www.parcdesalut.com/innovating-mental-health
  • 49. MPS SPAIN SPANISH MPS SOCIETY *MPS Catalonia/Central Office •MPS Community of Valencia •MPS Community of Castilla-La Mancha •MPS Community of Andalucía •MPS Community of Murcia. •Delegation of Madrid •Delegation of Marbella *Foundation Special acknowledgement for its contribution www.parcdesalut.com/innovating-mental-health
  • 50. WE REPRESENT • MUCOPOLISACCHARIDOSE • RELATED DISEASES • FABRY DISEASE Special acknowledgement for its contribution www.parcdesalut.com/innovating-mental-health
  • 51. Special acknowledgement for its contribution www.parcdesalut.com/innovating-mental-health
  • 52. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 53. www.parcdesalut.com/innovating-mental-health
  • 54. PARTNERS OF HONOR www.parcdesalut.com/innovating-mental-health
  • 55. PARTNERS OF HONOR www.parcdesalut.com/innovating-mental-health
  • 56. INNOVATING MENTAL HEALTH AT EUROPE PSICHOLOGY www.parcdesalut.com/innovating-mental-health
  • 57. INNOVATING MENTAL HEALTH AT EUROPE PHISIOTHERAPY www.parcdesalut.com/innovating-mental-health
  • 58. INNOVATING MENTAL HEALTH AT EUROPE SERVICES POLICY PHYSIOTHERAPY / PSYCHOTHERAPY LAW FIRM MEDICAL ADVICE www.parcdesalut.com/innovating-mental-health
  • 59. Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 60. Innovating on social attention Ester Fornells Admella Consell Comarcal del Baix Llobregat Sabadell, 5th September 2013
  • 61. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 62. Necessity of innovation in social attention - Territory characteristics - Work in a network www.parcdesalut.com/innovating-mental-health
  • 63. XARXA BAIX OSAMCAT Consell Comarcal del Baix Llobregat Diputació de Barcelona www.parcdesalut.com/innovating-mental-health
  • 64. History - Work areas Social risk population increase Legislation in social services and LDOIA Different network models www.parcdesalut.com/innovating-mental-health
  • 65. Field of action • Territorial (Baix Llobregat) • Intervention services: SSB, EAIAs, education, health and mental health, juvenile justice, SIE, SIAD, DGAIA & others www.parcdesalut.com/innovating-mental-health
  • 66. Objectives • • • • • • • To establish and consolidate collaboration dynamics, strategic cooperation and work in a network To define and share intervention models To develope the work in a network To connect the territory To organize preventive and coordinative actions To share routes, resources, devices, metodologies, programs, projects and experiences To use a work model in the Catalan territory that offers real solutions www.parcdesalut.com/innovating-mental-health
  • 67. Theorical frame • • • • • Social changes Economic crisis Family transformation Childhood vulnerability Intervention model of the work in a network www.parcdesalut.com/innovating-mental-health
  • 68. Methodology and activities 1. Work commission. Since 2011 2. Interprofessional seminars (SIXB) 3. Information transfer. Social Information Unities (UIS) www.parcdesalut.com/innovating-mental-health
  • 69. Work commission Formed by: Social services professionals, education CSMIJ and CDIAP Objectives: • To consider a regional work model need • To analyse the local networks situation www.parcdesalut.com/innovating-mental-health
  • 70. Interprofessional seminars (SIXB) • • • Objective: To establish a base of a network for the childhood, adolescence and psycho-social risk families attention Metodology: To approach on complex and serious cases that require an articulated work between the implicated professionals Conclusions: • Hypothesis diagnosis • Intervention plan: implicated actors implicats and temporarisation • Avaluation www.parcdesalut.com/innovating-mental-health
  • 71. What do we reach throught the SIXB? • • • • • • To reflect To analyse To listen To share the professionals discomfort To make a community work To reach conclusions www.parcdesalut.com/innovating-mental-health
  • 72. SIXB's qualities • The Interprofessional Seminars allow to talk about professionals discomfort and protect Human Resources responsibility on the mental health sector • Mental Health mechanisms are more dependent of human technology than instrumental technology www.parcdesalut.com/innovating-mental-health
  • 73. SIXB's qualities • Professionals request can be exhausting for them and cause lost of motivation and leak of comprehension capacity • Need of additional training and care for the professionals • This is a base of the work in a network (Josep Moya, 2012. Page 130) www.parcdesalut.com/innovating-mental-health
  • 74. Information tranfer between services Xarxa Baix is born as a reflection area. It starts a valuation about the information transfer to achieve the objective of giving a better attention and support to the people with better quality and efficiency www.parcdesalut.com/innovating-mental-health
  • 75. Information transfer difficulties • Confidentiality right • Contradiction and incompatibilities between information transmission and confidenciality • Number of professionals and working services choosing • Stigmatization risk www.parcdesalut.com/innovating-mental-health
  • 76. Information transfer guide Comission: education professionals, CDIAP, CSMIJ, SSB and EAIA Objective: to give response... • • • “What information do I need?” “What happens when I ask for information?" “What happens when I have to give information?” www.parcdesalut.com/innovating-mental-health
  • 77. Debate forum • Work in a network • Transferring information: • • • • Which How Use Usefuleness www.parcdesalut.com/innovating-mental-health
  • 78. Guide objectives • To work on a network • To define the information needs • To give the information needed in a faith environement • To know the legal frame www.parcdesalut.com/innovating-mental-health
  • 79. Why to work in a network • Problems to be faced have a complex nature and can not be solved only with one service or speciality • Cooperation and reciprocity need the actors will and implication www.parcdesalut.com/innovating-mental-health
  • 80. Why to work in a network • To offer a customised attention to the people necessities: individual, group and community dynamics • To establish an evaluation system using a connection and collaboration atmosphere www.parcdesalut.com/innovating-mental-health
  • 81. Information transfer between services • An aswer from the intervention and prevention • Being optimal and efficient through a work in a network between various services • Families attention is focused on its globality, complexity and community sense. That is why it need a connection between services and professionals www.parcdesalut.com/innovating-mental-health
  • 82. SOCIAL INFORMATION UNITIES (UIS) Aimed to the person as the system center Professionals predisposed to share information and resources Team work increase professionals confidence and helps to provide a better assistance To share information makes a collective subjectivity and avoid hierarchic knowledges and acting alone risks and problems www.parcdesalut.com/innovating-mental-health
  • 83. UIS and its professionals • • • • • Interaction with other professionals Cooperation between different institutions To increase the reality environement knowledge User services centralization to make good decisons Holistic, documentated and consensuted services benefit www.parcdesalut.com/innovating-mental-health
  • 84. Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 85. MENTAL HEALTH PROJECT ON PREVENTION FOR CHILDREN POPULATION AT 'SANT BOI DEL LLOBREGAT' OSAMCAT- CRAPPSI-FUNDACIÓ ORIENTA-CONSELL COMARCAL BAIX LLOBREGAT Ajuntament de Sant Boi de Llobregat Atenció Primària Sant Boi de Llobregat Centres educatius de Primària de Sant Boi de Llobregat CDIAP DE Sant Boi de Llobregat CSMIJ de Sant Boi de LLobregat Ms. Núria Valero Mayor's Office, Sant Boi del Llobregat City Council www.parcdesalut.com/innovating-mental-health
  • 86. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 87. INNOVATING MENTAL HEALTH AT EUROPE 1. JUSTIFICATION • The prevention on mental health problems should be focused in child and teenage population for two reasons: • First of all, because a very important part of the mental disorders start in this period of life. • A second reason is that: childhood is a vital stage. In this stage, defense mechanisms and relational suport elements related to prevention and risk are developed. www.parcdesalut.com/innovating-mental-health
  • 88. INNOVATING MENTAL HEALTH AT EUROPE Where do we start? Getting to know wich are the crucial factors of protection and wich are the risk factors. Focusing attention in the kids and teenager’s life environment. Therefore we find two principal elements we should focus on: family and school. But we also include less formal elements such as: street environment and other leisure spaces. www.parcdesalut.com/innovating-mental-health
  • 89. Fast Prevention INNOVATING MENTAL HEALTH AT EUROPE A previous detection of the problem allow a quicker intervention and at the same time a prevention in terms of “risk factor.” We will focus preparing health proffesionals such as pediatritians or nurses and education professionals such as teachers. These are the proffesionals that are closest to the kids and teenagers. www.parcdesalut.com/innovating-mental-health
  • 90. INNOVATING MENTAL HEALTH AT EUROPE POPULATION SEGMENT TO WHICH WE FOCUS THIS PROJECT • The population segment to wich we direct this project are: • a)Primary and secondary education professionals in Sant Boi. • b) Primary and secondary PTA’S (Parents Association) of Sant boi. www.parcdesalut.com/innovating-mental-health
  • 91. INNOVATING MENTAL HEALTH AT EUROPE a)Primary and secondary education professionals in Sant Boi • I) Etapa infantil (o-12 anys): 14 public center • 14 focal groups 2 sessions x group 28 • 9 concerted • 9 concerted center 2 sessions x group 18 • AMPA 23 focal groups 2 sessions x group 46 • Total 46 2 sessions x group 92 www.parcdesalut.com/innovating-mental-health
  • 92. INNOVATING MENTAL HEALTH AT EUROPE b) Primary and secondary PTA’S (Parents Association) of Sant boi. • 13-18 years 5 6 • • public centers .5 focal groups 2 sessions x group 10 concerted centers. 6 focal groups 2 sessions x group 12 AMPA 11 focal groups 2 sessions x group 22 Total 22 focal groups 2 sessions x group 44 www.parcdesalut.com/innovating-mental-health
  • 93. Methodology INNOVATING MENTAL HEALTH AT EUROPE Contact should be established with health primary atention professionals www.parcdesalut.com/innovating-mental-health
  • 94. Methodology INNOVATING MENTAL HEALTH AT EUROPE It will consist in the realization of focal groups consisting of: proffesionals and parents. Two sessions per focal group will be done. In the first session we will analyze the difficulties found in the exercise of education. www.parcdesalut.com/innovating-mental-health
  • 95. Methodology INNOVATING MENTAL HEALTH AT EUROPE During the second season, they will be given the instruments needed to detect and aboard the problems produced in school or in home. www.parcdesalut.com/innovating-mental-health
  • 96. INNOVATING MENTAL HEALTH AT EUROPE Thanks for your attention. NURIA VALERO CLUSTER DE SALUT MENTAL DE CATALUNYA. nvalero@santboi.cat www.parcdesalut.com/innovating-mental-health
  • 97. Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 98. TECHNOLOGY AND INNOVATION ON MENTAL HEALTH Detection, analysis and control on therapies and treatments Dr. Sergio Escalera Universitat de Barcelona, Centre de Visió per Computador UAB Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health 98
  • 99. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 100. INNOVATING MENTAL HEALTH AT EUROPE Motivation Observational techniques are essential for clinical diagnosis and therapy. Accuracy is required during the observation. International criteria tend to ignore the dependent variable contexts. Need of more precise techniques: Automatic extraction of indicators www.parcdesalut.com/innovating-mental-health
  • 101. INNOVATING MENTAL HEALTH AT EUROPE Our group: • Process automation for diagnostic support : “Human Pose Recovery and Behavior Analysis” http://www.maia.ub.es/~sergio/ Automatic data analysis: image, video, audio, medical image, so on. Intelligent software based on: •Computer Vision •Pattern Recognition •Statistical Learning SENSORS DATA ENTRY BEHAVIORAL AND ENVIRONMENTAL ANALYSIS (OBJECTS) AUTOMATIC FEEDBACK OF INDICATORS www.parcdesalut.com/innovating-mental-health
  • 102. INNOVATING MENTAL HEALTH AT EUROPE Antonio Hernández-Vela, Nadezhda Zlateva, Alexander Marinov, Miguel Reyes, Petia Radeva, Dimo Dimov, and Sergio Escalera, Human Limb Segmentation in Depth Maps based on Spatio-Temporal Graph Cuts Optimization, Journal of Ambient Intelligence and Smart Environments JAISE, 2012 www.parcdesalut.com/innovating-mental-health
  • 103. INNOVATING MENTAL HEALTH AT EUROPE Relación con la innovación en Europa Horizonte2020 approach: Health: Priority area Key subtopics: -ICT (Theories of the Information and Communication) on Health: -Computer vision, learning, different sensors, mobile devices -Active Ageing: -ICT for enhancing autonomy -European multi-disciplinariety trend: The union of different areas of knowledge enriches and fosters innovation Involving the use of living labs and user involvement positively valued by Europe www.parcdesalut.com/innovating-mental-health
  • 104. INNOVATING MENTAL HEALTH AT EUROPE ADHD diagnosis algorithm At least 6 of the criteria for attention deficit or 6 hyperactive-impulsive criteria At least 6 of inattention, 3 hyperactivity, and 1 impulsivity Comorbidity: less with schizophrenia, autism iTGD Discard multiple Diagnoses www.parcdesalut.com/innovating-mental-health
  • 105. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 106. INNOVATING MENTAL HEALTH AT EUROPE Noninvasive Filming in different contexts (previous surveys): - Custom Computer Games - Math Exercises " Automatic quantification of indicators Detected: “body support on the table" www.parcdesalut.com/innovating-mental-health
  • 107. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 108. INNOVATING MENTAL HEALTH AT EUROPE Sergio Escalera, Josep Moya, Laura Igual, Verónica Violant, and M. Teresa Anguera, Automatic Human Behavior Analysis in ADHD, Eunethydis 2nd International ADHD Conference, Barcelona, 2012. Antonio Hernández-Vela, Nadezhda Zlateva, Alexander Marinov, Miguel Reyes, Petia Radeva, Dimo Dimov, and Sergio Escalera, Human Limb Segmentation in Depth Maps based on Spatio-Temporal Graph Cuts Optimization, Journal of Ambient Intelligence and Smart Environments JAISE, 2012 www.parcdesalut.com/innovating-mental-health
  • 109. INNOVATING MENTAL HEALTH AT EUROPE Conclusions •Research and advances in information technology are enabling high applicability in mental health settings: Just appreciate the generality of the technology: Prevention, detection, follow-up, detection of anomalous behavior, so on. •Line recognition of people, behaviors and automatic quantification of indicators provides different benefits: Noninvasive Objectivity Computer systematic (not tired) Comfort Reliability so on. •In the case study of ADHD we have demonstrated the feasibility to automatically quantify the indicators established in the DSM-IV-TR and ICD-10 in different contexts. •Use for different purposes in mental health (project on interaction analysis in autism active). •Defining an automatic labeled dataset for clinical studies. www.parcdesalut.com/innovating-mental-health
  • 110. INNOVATING MENTAL HEALTH AT EUROPE The motivation on ADHD (also known as TDAH) •Brown (2006) mention the fact of displacement of the concentration. The same subjects who have chronic difficulty focusing on a task may have the opposite problem of being unable to withdraw attention and redirect certain point to another point concentration when needed. • Some authors refer to this as hyperalertness and described as focusing on a task in which they are interested while totally ignore or lose track of anything else, including who should attend. • From this it follows the need to check ADHD symptoms vary greatly depending on the contexts (variable motivation). •Automatically analyze correlation or significant differences in different contexts indicators of motivation. www.parcdesalut.com/innovating-mental-health
  • 111. Innovating Mental Health at Europe Sabadell, 5th September 2013 Special thanks Multi-disciplinary team (Matemáticos, Informáticos, Psicólogos, Psiquiatras) Josep Moya, M. Teresa Anguera, Verónica Violant, Laura Igual www.parcdesalut.com/innovating-mental-health
  • 112. Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 113. Innovating Mental Health at Europe Sabadell, 5th September 2013 The implication of medical professionals on the mental health of elderly people Dr. Antoni Yuste www.parcdesalut.com/innovating-mental-health
  • 114. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 115. Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 116. ESTIMA, cap a la gent gran amb demència Ester González Aguado, PhD Consorci Sanitari del Garraf Servei de Geriatria - Psicogeriatria Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 117. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 118. INNOVATING MENTAL HEALTH AT EUROPE ESTIMA Project: ESTImulació Multisensorial en la demència Projectes Socials de l’Obra Social de la Caixa, convocatòries 2011-2013 Caixa Manresa Donacions particulars www.parcdesalut.com/innovating-mental-health
  • 119. INNOVATING MENTAL HEALTH AT EUROPE Person Centered Attention Rise of NFT for dementia / Access to new technolgy Snoezelen / Multisensory environments www.parcdesalut.com/innovating-mental-health
  • 120. INNOVATING MENTAL HEALTH AT EUROPE Person Centered Attention Rise of NFT for dementia / Access to new technolgy Snoezelen / Multisensory environments www.parcdesalut.com/innovating-mental-health
  • 121. INNOVATING MENTAL HEALTH AT EUROPE • The origins… Moderate-advanced dementia (GDS-Reisberg 57). Presence of psychological and behavioral symptoms associated to dementia. Interventions with primary caregivers. www.parcdesalut.com/innovating-mental-health
  • 122. INNOVATING MENTAL HEALTH AT EUROPE Major goals: • Prevent primary caregiver claudication. • Improve some indicators of QoL. • Dignify the care of people with dementia. www.parcdesalut.com/innovating-mental-health
  • 123. INNOVATING MENTAL HEALTH AT EUROPE Requirement for PCA in dementia: Life history Each person is unique Individuality is a value. Recognizing the individuality promotes personal attention. Requirement for multisensory interventions: Sensory profile www.parcdesalut.com/innovating-mental-health
  • 124. INNOVATING MENTAL HEALTH AT EUROPE www.parcdesalut.com/innovating-mental-health
  • 125. INNOVATING MENTAL HEALTH AT EUROPE Medical record + Life history Disability / Potentiality Behavioral disorders / Communication Dependency / Support needs Sensory limitations + Sensory profile Reference caregiver / Vital translator www.parcdesalut.com/innovating-mental-health
  • 126. INNOVATING MENTAL HEALTH AT EUROPE • Scope: Community services / day care centers • Target population: Frail elderly (cognitive impairment, social fraility…) Requirement: Reference caregiver / vital translator www.parcdesalut.com/innovating-mental-health
  • 127. INNOVATING MENTAL HEALTH AT EUROPE • Methodology: Sample selection (Day Care Center). Collect life history data and sensory profile analysis. To train in multisensorial techniques to primary cares. Design and develop the individualized multisensory plan. Assess the outcomes. www.parcdesalut.com/innovating-mental-health
  • 128. INNOVATING MENTAL HEALTH AT EUROPE DAY CARE CENTER Vilanova i la Geltrú (64.905 registered inhabitants, 2012). Attending 60 persons / day. Aprox. 25% with moderate-severe dementia. www.parcdesalut.com/innovating-mental-health
  • 129. INNOVATING MENTAL HEALTH AT EUROPE • Measuring scales: Cornell Scale for depression in dementia (Alexopoulus et al) Pfeiffer’s SPMSQ GENCAT Quality of Life Scale (Verdugo et al) Caregiver Burden Interview (Zarit) www.parcdesalut.com/innovating-mental-health
  • 130. INNOVATING MENTAL HEALTH AT EUROPE • Design and development of individualized multisensory plan (I): Collect and analyze de data (life history and sensory profile). Collect material for the sessions (video recordings, photographs, personal objects, letters…). www.parcdesalut.com/innovating-mental-health
  • 131. INNOVATING MENTAL HEALTH AT EUROPE Design and development of individualized multisensory plan (II): Design sessions according to structured programme: I. Body conciousness II. Contrasts and rythms (communication). III. Personal integration (significant sensory stimulation) • www.parcdesalut.com/innovating-mental-health
  • 132. INNOVATING MENTAL HEALTH AT EUROPE I. Body conciousness: Body and skin as limits (propioception): Vibratory stimulation Vestibular stimulation Somatic stimulation www.parcdesalut.com/innovating-mental-health
  • 133. INNOVATING MENTAL HEALTH AT EUROPE II. Contrasts and rythms (communication): Internal rythms (body listening). External rythms (music melodies; pauses and silence; go-no go tasks, …). www.parcdesalut.com/innovating-mental-health
  • 134. INNOVATING MENTAL HEALTH AT EUROPE III. Personal integration (significant sensory stimulation): The Knowledge and sense of stimuli. New sensations, old senses (reminiscence). Biography: Sense of identity. www.parcdesalut.com/innovating-mental-health
  • 135. INNOVATING MENTAL HEALTH AT EUROPE
  • 136. • CONCLUSIONS: ESTIMA project expects to promote personcentered care. Empowers the person with dementia and their loved ones to lead the intervention. No matters how much, but HOW www.parcdesalut.com/innovating-mental-health
  • 137. Thank you! Innovating Mental Health at Europe Sabadell, 5th September 2013 www.parcdesalut.com/innovating-mental-health
  • 138. Innovating Mental Health at Europe Sabadell 5th September, 2013 Visit the webpage event: www.parcdesalut.com/innovating-mental-health